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1073080883
LEIGH ALICE DISMUKES
DALLAS, TX
NPI
1073080883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 105700)
Enumeration Date
2018-10-30
Last Update Date
2018-10-30
Business Address
LEIGH ALICE DISMUKES OTR
3535 N HALL ST
DALLAS, TX 75219-5416
Phone number: 214-559-7015
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Mailing Address
LEIGH ALICE DISMUKES OTR
236 SAMUEL BLVD APT 2Q
COPPELL, TX 75019-3048
Phone number: 972-965-5923
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